Pioneer Medical Supply Service

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103149 Issued in CA

Legal business name

PIONEER MEDICAL SUPPLY SERVICE

Practice address

8221 S Western Ave
Los Angeles, CA 90047-3036

Phone

(323) 778-3815

Fax

(323) 778-3819

NPI assigned

May 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ben Agha Offor

Title

Managing Director

Phone

(323) 778-3815

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1740248475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451155",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458511",
            "telephone_number": "323-778-3815",
            "fax_number": "323-778-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473036",
            "telephone_number": "323-778-3815",
            "fax_number": "323-778-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL SUPPLY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "OFFOR",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "AGHA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "323-778-3815"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03188F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Pintor
• Victor Pinzon Gonzalez
• Daniel Stephen Pio, M.D.
• Ruzziel Pio
• Alejandro Marcelo Pioli, MFT
• Jean Pioso
• Molly Piper
• Grace Pipes
• Camille Pipis
• Tamica Pipkin, RDA

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.